Evidence map›Paper›PMID 38956610›Full record

ArticleBMC sports science, medicine & rehabilitation2024

Evaluation of frailty in geriatric patients undergoing cardiac rehabilitation after cardiac procedure: results of a prospective, cross-sectional study.

Carolin Steinmetz, Laura Krause, Samra Sulejmanovic, Sabrina Kaumkötter, Johanneke Hartog, Bart Scheenstra, Flohr Stefan, Thomas Mengden, Clemens Grefe, Ernst Knoglinger and 6 more

Abstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Carolin SteinmetzDepartment of Geriatrics, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany. carolin.steinmetz@med.uni-goettingen.de.ORCID http://orcid.org/0000-0002-5190-9551
Laura KrauseDepartment of Geriatrics, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany.
Samra SulejmanovicDepartment of Sports Science, University of Hildesheim, Universitätsplatz 1, 31141, Hildesheim, Germany.
Sabrina KaumkötterSchüchtermann-Schiller'sche Clinic, Ulmenallee 11, 49214, Bad Rothenfelde, Germany.
Johanneke HartogDepartment of Cardio-Thoracic Surgery, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, Netherlands.
Bart ScheenstraDepartment of Cardiothoracic Surgery, Heart and Vascular Center, Maastricht University Medical Center, Professor Debyelaan 25, 6229 HX, Netherlands, Maastricht.
Flohr StefanDepartment of Sports Science, University of Hildesheim, Universitätsplatz 1, 31141, Hildesheim, Germany.
Thomas MengdenDepartment of Rehabilitation, Kerckhoff Heart Center, Ludwigstraße 41, 61231, Bad Nauheim, Germany.
Clemens GrefeClinic and Rehabilitation Center Lippoldsberg, Birkenallee 1, 34399, Wesertal, Germany.
Ernst KnoglingerKirchberg-Clinic Bad Lauterberg, Kirchberg 7-11, 37431, Bad Lauterberg, Germany.
Nils ReissSchüchtermann-Schiller'sche Clinic, Ulmenallee 11, 49214, Bad Rothenfelde, Germany.
Birna Bjarnason-WehrensInstitute of Cardiology and Sports Medicine, Department Preventive and Rehabilitative Sport and Exercise Medicine, German Sport University, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany.
Thomas SchmidtSchüchtermann-Schiller'sche Clinic, Ulmenallee 11, 49214, Bad Rothenfelde, Germany.
Monika SadlonovaDepartment of Geriatrics, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany.
Christine A F von ArnimDepartment of Geriatrics, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany.
Stephanie HeinemannDepartment of Geriatrics, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrailty is an indicator of a decline in quality of life and functional capacity in cardiac rehabilitation (CR) patients. Currently, there is no standardized assessment tool for frailty used in CR. The aim of this study was to determine if the Clinical Frailty Scale (CFS) is feasible for assessing frailty in CR.

methodsProspective, cross-sectional study within the framework of the ongoing multicenter prehabilitation study "PRECOVERY". Patients ≥75 years undergoing CR after cardiac procedure (n=122) were recruited in four German inpatient CR facilities. Assessments included: CFS, Katz-Index, hand grip strength (HGS), Short Physical Performance Battery (SPPB) and six-minute-walk test (6MWT). Outcomes were frailty (CFS≥4) and the correlation of frailty with assessments of functional capacity, activities of daily living and clinical parameters. Statistical analysis included descriptive statistics and correlations, using the spearman correlation coefficient and chi-square test to test for significance.

resultsData from 101 patients (79.9±4.0 years; 63% male) were analyzed. The mean CFS score was 3.2±1.4; 41.6% were defined as frail (CFS≥4). The mean time required to assess the CFS was 0.20 minutes. The findings show that CFS correlates significantly (p<0.001) with the following factors: Katz-Index, HGS, SPPB-Score and 6MWT (r≤-0.575). In addition, CFS correlated with small to moderate effects with co-morbidities (r=0.250), as-needed medications and need for nursing assistance (r≤0.248).

conclusionsThe CFS assessment can be performed in under one minute and it correlates significantly with assessments of functional capacity, activities of daily living and clinical parameters in the CR setting.

trial registrationGerman Clinical Trials Register (DRKS; http:// www. drks. de; DRKS00032256). Retrospectively registered on 13 July 2023.

Indexed as

Cardiac rehabilitationCardiac surgeryFrailtyValve intervention

Identifiers

PMID38956610
PMCPMC11221201

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.